Individual provider · Type 1 NPI
Jennifer Marie Andersen, LPCC
Professional Counselor · Cambridge, MN
NPI number
1003388398
Active
Practice location
701 Dellwood St S
Cambridge, MN 55008-1920
Fax (763) 688-7941
Mailing address
817 Main St N
Cambridge, MN 55008-1275
Other practice locations
- 1700 E Rum River Dr S Ste E, Cambridge, MN 55008-2547 · (763) 307-0610
- 817 Main St N, Cambridge, MN 55008-1275 · (763) 325-0300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | CC0219 (MN) |
| Professional Counselor Primary | 101YP2500X | 2019 (MN) |
Professional Counselor: Definition to come...
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About NPI 1003388398
Jennifer Marie Andersen, LPCC's National Provider Identifier is 1003388398, issued on Dec 26, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cambridge, MN. The record was last updated on Sep 28, 2022.